2023 NGN HESI PN EXIT EXAM V3
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
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Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Basic Care and Comfort
Safety and Infection Control
Introduction
This comprehensive examination assesses the practical nursing
knowledge and clinical decision-making skills required for entry-level
practice. It evaluates foundational nursing principles, safe
medication administration, patient-centered care, and evidence-
based interventions across the lifespan. The examination employs
multiple-choice and scenario-based questions aligned with the Next
,Generation NCLEX-PN test plan. Emphasis is placed on critical
thinking, prioritization, clinical judgment, and the application of
nursing knowledge in diverse healthcare settings. This assessment
prepares candidates for the rigor of the HESI PN Exit Exam and real-
world practical nursing practice.
SECTION ONE: QUESTIONS 1–110
1. An adult client experiences a gasoline tank fire when riding
a motorcycle and is admitted to the emergency department
(ED) with full thickness burns to all surfaces of both lower
extremities. What percentage of body surface area should the
nurse document in the electronic medical record (EMR)?
A. 9%
B. 18%
C. 36%
D. 45%
C. 36%
RATIONALE: According to the rule of nines, the anterior and
posterior surfaces of one lower extremity is designated as 18% of
total body surface area (TBSA), so both extremities equals 36%
TBSA. The other options are incorrect.
2. The nurse is preparing a 4-day-old infant with a serum
bilirubin level of 19 mg/dL (325 micromol/L) for discharge
from the hospital. When teaching the parents about home
phototherapy, which instruction should the nurse include in
the discharge teaching plan?
,A. Reposition the infant every 2 hours.
B. Perform diaper changes under the light.
C. Feed the infant every 4 hours.
D. Cover with a receiving blanket.
A. Reposition the infant every 2 hours.
RATIONALE: An infant receiving phototherapy for
hyperbilirubinemia should be repositioned every two hours to
ensure that the phototherapy lights reach all body surface areas.
Feedings need to occur more frequently than every 4 hours to
prevent dehydration. The infant should wear only a diaper so that
the skin is exposed to the phototherapy.
3. A 13-year-old client with non-union of a comminuted
fracture of the tibia is admitted with osteomyelitis. The
healthcare provider collects bone aspirate specimens for
culture and sensitivity and applies a cast to the adolescent's
lower leg. What action should the nurse implement next?
A. Administer antiemetic agents.
B. Bivalve the cast for distal compromise.
C. Provide a high-calorie, high-protein diet.
D. Begin parenteral antibiotic therapy.
D. Begin parenteral antibiotic therapy.
RATIONALE: The standard of treatment for osteomyelitis is
antibiotic therapy and immobilization. After bone and blood
, aspirate specimens are obtained for culture and sensitivity, the
nurse should initiate parenteral antibiotics as prescribed.
4. The nurse is preparing a community education program on
osteoporosis. Which instruction is helpful in preventing bone
loss and promoting bone formation?
A. Recommend weight-bearing physical activity.
B. Encourage a sedentary lifestyle.
C. Advise a low-calcium diet.
D. Recommend smoking cessation only.
A. Recommend weight-bearing physical activity.
RATIONALE: Weight-bearing physical activity helps prevent
bone loss and promotes bone formation. It is a key lifestyle
intervention for osteoporosis prevention and management.
5. A client with a history of chronic pain requests a nonopioid
analgesic. The client is alert but has difficulty describing the
exact nature and location of the pain to the nurse. What
action should the nurse implement next?
A. Administer the analgesic as requested.
B. Withhold the analgesic until the pain is better described.
C. Notify the healthcare provider immediately.
D. Ask the client to rate the pain on a scale of 0 to 10.
A. Administer the analgesic as requested.
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Basic Care and Comfort
Safety and Infection Control
Introduction
This comprehensive examination assesses the practical nursing
knowledge and clinical decision-making skills required for entry-level
practice. It evaluates foundational nursing principles, safe
medication administration, patient-centered care, and evidence-
based interventions across the lifespan. The examination employs
multiple-choice and scenario-based questions aligned with the Next
,Generation NCLEX-PN test plan. Emphasis is placed on critical
thinking, prioritization, clinical judgment, and the application of
nursing knowledge in diverse healthcare settings. This assessment
prepares candidates for the rigor of the HESI PN Exit Exam and real-
world practical nursing practice.
SECTION ONE: QUESTIONS 1–110
1. An adult client experiences a gasoline tank fire when riding
a motorcycle and is admitted to the emergency department
(ED) with full thickness burns to all surfaces of both lower
extremities. What percentage of body surface area should the
nurse document in the electronic medical record (EMR)?
A. 9%
B. 18%
C. 36%
D. 45%
C. 36%
RATIONALE: According to the rule of nines, the anterior and
posterior surfaces of one lower extremity is designated as 18% of
total body surface area (TBSA), so both extremities equals 36%
TBSA. The other options are incorrect.
2. The nurse is preparing a 4-day-old infant with a serum
bilirubin level of 19 mg/dL (325 micromol/L) for discharge
from the hospital. When teaching the parents about home
phototherapy, which instruction should the nurse include in
the discharge teaching plan?
,A. Reposition the infant every 2 hours.
B. Perform diaper changes under the light.
C. Feed the infant every 4 hours.
D. Cover with a receiving blanket.
A. Reposition the infant every 2 hours.
RATIONALE: An infant receiving phototherapy for
hyperbilirubinemia should be repositioned every two hours to
ensure that the phototherapy lights reach all body surface areas.
Feedings need to occur more frequently than every 4 hours to
prevent dehydration. The infant should wear only a diaper so that
the skin is exposed to the phototherapy.
3. A 13-year-old client with non-union of a comminuted
fracture of the tibia is admitted with osteomyelitis. The
healthcare provider collects bone aspirate specimens for
culture and sensitivity and applies a cast to the adolescent's
lower leg. What action should the nurse implement next?
A. Administer antiemetic agents.
B. Bivalve the cast for distal compromise.
C. Provide a high-calorie, high-protein diet.
D. Begin parenteral antibiotic therapy.
D. Begin parenteral antibiotic therapy.
RATIONALE: The standard of treatment for osteomyelitis is
antibiotic therapy and immobilization. After bone and blood
, aspirate specimens are obtained for culture and sensitivity, the
nurse should initiate parenteral antibiotics as prescribed.
4. The nurse is preparing a community education program on
osteoporosis. Which instruction is helpful in preventing bone
loss and promoting bone formation?
A. Recommend weight-bearing physical activity.
B. Encourage a sedentary lifestyle.
C. Advise a low-calcium diet.
D. Recommend smoking cessation only.
A. Recommend weight-bearing physical activity.
RATIONALE: Weight-bearing physical activity helps prevent
bone loss and promotes bone formation. It is a key lifestyle
intervention for osteoporosis prevention and management.
5. A client with a history of chronic pain requests a nonopioid
analgesic. The client is alert but has difficulty describing the
exact nature and location of the pain to the nurse. What
action should the nurse implement next?
A. Administer the analgesic as requested.
B. Withhold the analgesic until the pain is better described.
C. Notify the healthcare provider immediately.
D. Ask the client to rate the pain on a scale of 0 to 10.
A. Administer the analgesic as requested.
